I-Endometritis

-Delile

• Izimbangela ze-endometritis
• Izici zobungozi ze-endometritis
• Ziyini izimpawu ze-endometritis?
• I-endometritis itholakala kanjani?
• Izinkinga ezingaba khona ze-endometritis
• I-endometritis iphathwa kanjani?
• Yini engalindelwa esikhathini eside esizayo?
• Kungavinjelwa kanjani i-endometritis?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-endometritis?

I-Endometritis yisimo sokuvuvukala kolwelwesi lwesibeletho futhi imvamisa kungenxa yesifo. Imvamisa akusongeli impilo, kepha kubalulekile ukuthi welashwe ngokushesha okukhulu. Ngokuvamile kuzophela lapho welashwa ngudokotela wakho ngama-antibiotic.

Izifo ezingalashwa zingaholela ezinkingeni ngezitho zokuzala, izingqinamba zokuzala, nezinye izinkinga zempilo ezijwayelekile. Ukunciphisa izingozi zakho, funda ukuze ufunde ukuthi ziyini, izimpawu, nombono wakho uma kutholakala.

Izimbangela ze-endometritis

I-Endometritis ngokuvamile ibangelwa ukutheleleka. Izifo ezingadala i-endometritis zifaka:

• izifo ezithathelwana ngocansi (ama-STI), njenge-chlamydia ne-gonorrhea
• isifo sofuba
• ukutheleleka okuvela enhlanganisweni yamagciwane ajwayelekile esitho sangasese sowesifazane

Bonke abesifazane banokuxuba okujwayelekile kwamagciwane esithweni sabo sangasese. I-Endometritis ingabangelwa lapho lokhu kuhlangana okungokwemvelo kwamagciwane kushintsha ngemuva komcimbi wokuphila.

Izici zobungozi ze-endometritis

Usengcupheni yokuthola ukutheleleka okungadala i-endometritis ngemuva kokukhulelwa kwesisu noma ngemuva kokubeletha, ikakhulukazi kulandela umsebenzi omude noma ukulethwa ngokuhlinzwa. Kungenzeka futhi ukuthi uthole i-endometritis ngemuva kwenqubo yezokwelapha ebandakanya ukungena esibelethweni ngomlomo wesibeletho. Lokhu kunganikeza indlela yokuthi amabhaktheriya angene. Izinqubo zokwelashwa ezingakhuphula ubungozi bokuthuthukisa i-endometritis zifaka:

• i-hysteroscopy
• ukubekwa kwe-intrauterine device (IUD)
• ukunciphisa kanye ne-curettage (ukusika kwesibeletho)

I-Endometritis ingenzeka ngasikhathi sinye nezinye izimo endaweni ye-pelvic, njengokuvuvukala komlomo wesibeletho obizwa nge-cervicitis. Lezi zimo zingadala noma zingabangeli izimpawu.

Ziyini izimpawu ze-endometritis?

I-Endometritis ivame ukudala lezi zimpawu ezilandelayo:

• ukuvuvukala kwesisu
• ukopha okungavamile kwesitho sangasese sowesifazane
• ukukhishwa okungavamile kwesitho sangasese sowesifazane
• ukuqunjelwa
• ukungakhululeki lapho unyakaza amathumbu
• imfiva
• umuzwa ojwayelekile wokugula
• ubuhlungu okhalweni, indawo engezansi yesisu, noma indawo engunxande

I-endometritis itholakala kanjani?

Udokotela wakho uzokwenza ukuhlolwa komzimba kanye nokuhlolwa kwe-pelvic. Bazobheka isisu sakho, isibeletho, nomlomo wesibeletho ukuthola izimpawu zesisa nokukhipha. Ukuhlolwa okulandelayo kungasiza futhi ukuxilonga isimo:

• ukuthatha amasampuli, noma amasiko, emlomo wesibeletho ukuhlola amabhaktheriya angadala ukutheleleka, njenge-chlamydia ne-gonococcus (amabhaktheriya abangela i-gonorrhea)
• ukususa inani elincane lezicubu emgqeni wesibeletho ukuze kuhlolwe, okubizwa nge-endometrial biopsy
• inqubo ye-laparoscopy evumela udokotela wakho ukuthi abukisise kakhulu ingaphakathi lesisu sakho noma ukhalo
• ubheke ukukhishwa ngaphansi kwemicroscope

Ukuhlolwa kwegazi kungenziwa futhi ukukala inani lamaseli wakho amhlophe egazi (WBC) kanye nesilinganiso se-erythrocyte sedimentation (ESR). I-Endometritis izodala ukuphakama kokubala kwakho kwe-WBC naku-ESR yakho.

Izinkinga ezingaba khona ze-endometritis

Ungaba nezinkinga ngisho nokugula okunzima uma ukutheleleka kungaphathwa ngemithi elwa namagciwane. Izinkinga ezingenzeka ezingaba khona zibandakanya:

• ukungazali
• i-pelvic peritonitis, okutheleleka ngokujwayelekile okhalweni
• amaqoqo obomvu noma amathumba esinqeni noma esibelethweni
• septicemia, okuyi-bacteria egazini
• ukushaqeka okwedlulele, okutheleleka ngokweqile kwegazi okuholela ekucindezelekeni okuphansi kakhulu kwegazi

I-Septicemia ingadala i-sepsis, okuwukutheleleka okunzima okungaba kubi ngokushesha okukhulu. Kungadala ukushaqeka okubucayi, okuyisimo esiphuthumayo esisongela impilo. Zombili zidinga ukwelashwa ngokushesha esibhedlela.

I-endometritis engapheli ukuvuvukala okungapheli kwe-endometrium. I-pathogen ikhona kepha ikhiqiza ukutheleleka okusezingeni eliphansi futhi iningi labesifazane ngeke libe nazimpawu, noma izimpawu ezingahle zingatholakali kahle. Kodwa-ke, i-endometritis engapheli ibilokhu ihlobene nokungazali.

I-endometritis iphathwa kanjani?

I-Endometritis iphathwa ngama-antibiotic. Umuntu ohlanganyela naye ocansini naye angadinga ukwelashwa uma udokotela ethola ukuthi une-STI. Kubalulekile ukuqeda yonke imithi enikezwe udokotela wakho.

Amacala abucayi noma ayinkimbinkimbi angadinga uketshezi lwe-intravenous (IV) bese ephumula esibhedlela. Lokhu kuyiqiniso ikakhulukazi uma isimo silandela ukubeletha.

Yini engalindelwa esikhathini eside esizayo?

Umbono womuntu one-endometritis futhi ayelaphe ngokushesha ngokuvamile muhle kakhulu. I-Endometritis ivame ukuphela ngama-antibiotic ngaphandle kwezinkinga ezengeziwe.

Kodwa-ke, izinkinga ngokuzala kanye nezifo ezinzima zingenzeka uma isimo singelashwa. Lokhu kungaholela ekungatholi inzalo noma ukushaqeka okubucayi.

Kungavinjelwa kanjani i-endometritis?

Unganciphisa ubungozi be-endometritis kusukela ekubelethweni noma enye inqubo yokubelethisa ngokuqinisekisa ukuthi udokotela wakho usebenzisa imishini oyinyumba namasu ngesikhathi sokubeletha noma sokuhlinzwa. Udokotela wakho futhi uzokunikeza ama-antibiotics okufanele uwaqaphele ngesikhathi sokubeletha noma ngaphambi kokuhlinzwa.

Ungasiza ekunciphiseni ubungozi be-endometritis obubangelwa ama-STI ngu:

• ukwenza ucansi oluphephile, njengokusebenzisa amakhondomu
• ukuthola ukuhlolwa okujwayelekile nokuxilongwa kusenesikhathi kwezifo zocansi ezisolwayo, kuzo zombili wena nomlingani wakho
• ukuqeda yonke imishanguzo ebekelwe i-STI

Thenga ku-inthanethi ukuthola amakhondomu.

Khuluma nodokotela wakho uma uhlangabezana nezimpawu ze-endometritis. Kubalulekile ukuthola ukwelashwa ukuvimbela noma yiziphi izinkinga ezinkulu ukuthi zingaveli.